Intihar, Dale

Intihar, Dale is an individual health care provider with primary practice located at 309 Palm Coast Pkwy Ne , Palm Coast FL 32137-3886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Intihar, Dale can be contacted via phone (386) 445-7073.

Contact Information

Primary practice address
309 Palm Coast Pkwy Ne Palm Coast FL 32137-3886
Phone: (386) 445-7073
Fax: (386) 447-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME89456 Florida

Profile Details

NPI number 1164490199
LBN Legal business name Intihar, Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Feb 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164490199 NPPES
Florida Other 37624 BCBS
Florida Other 1164490199 BCBS
Florida Other ME89456 BCBS
Florida Other P01034306 BCBS
Florida MEDICAID 268950200 BCBS

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